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Operation Round-Up Application

APPLICATION FOR OPERATION ROUND-UP GRANT FOR ORGANIZATION/AGENCY

NOTE: If you have previously received a grant from February 2004 to the present, then you MUST submit anOperation Round-Up Activity Sheet detailing how you used the grant funds BEFORE you will be awarded any further grants from Roanoke Electric Care Trust, Inc.

All applications must be submitted by Friday, December 29, 2017.

NOTE: Instructions for submitting additional information can be found at the bottom of this application.

Submit this form by clicking the "Submit Form" button at the bottom of the form. (Please DO NOT submit by printing and faxing this form. We can serve you more accurately and effectively if you submit the form electronically.)

Fields marked with a red asterisk * are required.

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Organization Profile:

Name Of Organization: *

Amount Requested: *

Provide a short summary of project/program you would like Round-Up to fund:

Project Summary: *

Address: *

City: *

State: *

Zip: *

Phone Number: *

Fax Number:

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Touchstone Energy® Cooperatives is a national network of electric cooperatives across 46 states that provides resources and leverages partnerships to help member cooperatives and their employees better engage and serve their members. By working together, Touchstone Energy® Cooperatives stand as a source of power and information to their 32 million member-owners every day.